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Chapter I

INTRODUCTION

Background of the Study

Alcohol and Tobacco are among the top causes of preventable deaths.

Moreover, these substances often are used together. People who smoke are

much more likely to drink, and people who drink are much more likely to smoke.

Dependence on alcohol and tobacco also is correlated. People who are

dependent on alcohol are three times more likely than those in the general

population to be smokers, and people who are dependent on tobacco are four

times more likely than the general population to be dependent on alcohol. The

link between alcohol and tobacco has important implications for those in the

alcohol treatment field. Many alcoholics smoke, putting them at high risks for

tobacco- related complications, including multiple cancers. Alcohol and tobacco

use may lead to major health risks when used alone and together (Taylor, 2010).

Understanding just how alcohol and tobacco interact is challenging.

Because co-use is so common, and because both substances work on similar

mechanisms in the brain, it’s proving difficult to tease apart individual and

combined effects of these drugs. According to Husten (2015), interactions

between these two substances, including the prevalence of co-occurring tobacco

and alcohol use disorders, some of the health consequences of combined use,

biological mechanisms and genetic vulnerabilities to co-use and dependence.

Alcohol and tobacco use may lead to major health risks when used alone and

together. In addition to contributing to traumatic death and injury.

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According to Breslau and Peterson (2010) individuals who smoke early in

life are less likely to quit as adults. Likewise, alcohol use typically begins in

adolescence, and early initiation of alcohol use is a strong predictor of

subsequent problems and dependence (De 2010). Cigarette’s smoking is of

special interest because cigarettes were legally available to minors until recently

and are still readily available to minors from the Internet and non-commercial

sources (Castrucci 2012). This approach was used by Chen and Kandel (2012)

to examine the relationship between substance use and dependence for the

cases of nicotine and cocaine. In the present study, they take analogous

approach to address whether smoking might predict differential susceptibility to

alcohol abuse and dependence, also known as alcohol use disorder. Alcohol and

smoking are associated with physical health (Oxford University Press 2014).

The main objectives of this study is to identify the factors influencing

cigarette smoking and alcoholism and its effect to the health of the youths, and

open new ideas for everyone’s information, not just for the youth, but also for the

people who are dependent to alcohol and cigarette, because consumption to

alcohol and cigarettes is currently one of society’s major issues. The purpose of

this is to become aware in our physical, mental, and social aspects.

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Statement of the Problem

The study aimed to determine the factors influencing cigarette smoking

and alcoholism among youths in Barangay Kapaya Bagumbayan Sultan Kudarat.

Specifically, it aims to answer the following:

1. What is the demographic profile of the respondents in terms of;

1.1 age; and

1.2 gender?

2. What are the extent of factors influencing cigarette smoking and

alcoholism among youths in Barangay Kapaya Bagumbayan Sultan

Kudarat in terms of;

2.1 ignorance and curiosity;

2.2 peer pressure; and

2.3 rebellious phase?

3. What are the effects of cigarette smoking and alcoholism to the youths

in Barangay Kapaya Bagumbayan Sultan Kudarat in terms of;

3.1 physical aspect;

3.2 mental aspect ; and

3.3 social aspect?

4. Is there a significant relationship between the factors influencing

cigarette smoking and alcoholism and its effect to the youths in

Barangay Kapaya Bagumbayan Sultan Kudarat?

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Conceptual Framework

INDEPENDENT VARIABLE DEPENDENT VARIABLE


FACTORS OF CIGARETTE
SMOKING AND ALCOHOLISM EFFECTS OF THE CIGARETTE
AMONG YOUTHS SMOKING AND ALCOHOLISM
TO THE YOUTHS
 Ignorance and Curiosity
 Physical Aspect
 Peer Pressure  Mental Aspect

 Rebellious Phase  Social Aspect

Figure 1: The Conceptual Framework of the Study

The diagram shows the factors influencing cigarette smoking and

alcoholism among youths in Barangay Kapaya Bagumbayan Sultan Kudarat.

As shown in the figure 1, the independent variables are factors of

cigarette smoking and alcoholism among youths in terms of ignorance and

curiosity, peer pressure and rebellious phase. The dependent variables are

effects of the cigarette smoking and alcoholism to the youths in terms of physical

aspect, mental aspect and social aspect. This study leans on the factors

influencing cigarette smoking and alcoholism among youths.

Hypothesis

Null Hypothesis: There is no significant relationship between the factors

influencing cigarette smoking and alcoholism and its effect to the youths.

Alternative Hypothesis: There is a significant relationship between the factors

influencing cigarette smoking and alcoholism and its effect to the youths.

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Significance of the Study

The study focused on determining the factors influencing cigarette

smoking and alcoholism among youths in Barangay Kapaya Bagumbayan Sultan

Kudarat. Moreover, the results of the study will be beneficial to the following:

To the Community, the community will put more attention to handle this kind of

case.

To the Parents, the parents are directly concerned with the health of their

children and will be able to know how to handle and discipline their child.

To the Barangay Officials, this study can provide more knowledge to be aware

of the youth to undergo such treatment and help them to solve the problem that

they encountered.

To the Youth, the respondents will have awareness on the factors influencing

cigarettes smoking and alcoholism to their health. With this study, it will be an

eye opener that health is more important than any other issues.

To the Future Researchers, this study will provide baseline data needed for

future researchers and studies related to this one.

To the Researcher, this will broaden their understanding on the factors

influencing cigarettes smoking and alcoholism among youth in Barangay Kapaya

Bagumbayan Sultan Kudarat.

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Scope and Limitation of the Study

This study focused on the factors influencing cigarette smoking and

alcoholism among youths in Barangay Kapaya Bagumbayan Sultan Kudarat. The

data collection was conducted to 200 random youths in Barangay Kapaya

Bagumbayan Sultan Kudarat who represented the population. Each respondent

was given the same questionnaire to answer. The result of this study was

applicable to the community of Barangay Kapaya. The main source of data was

the questionnaire, which is prepared by researcher.

This study was conducted during first and second semester of the School

Year 2021-2022.

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Definition of Terms

The researcher defined some important words based on its use in the

study for clarification and to be understood by the readers.

Alcoholism refers to excessive and repetitive drinking of

alcoholic beverages of the youth of Barangay

Kapaya to the extent that it is drinker

repeatedly harmed or harms others. The harm

may be physical, mental and social.

Cigarette Smoking refers to the substances that the youth used

to calm their selves and it gives them sense

of belongingness in their social aspect.

Curiosity refers to a strong desire to know or learn

something.

Ignorance refers to a lack of knowledge or information.

Mental Aspect refers to the emotional, psychological, and

social well-being of the youths. It affects how

we think, feel and act.

Peer Pressure refers to a feeling of the youths that one must

do the same things as other people of one’s

age and social group to be liked or respected

by them.

Physical Aspect refers to the youths body as distinguished

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from the mind and spirit.

Rebellious Phase refers to the expression of defiant behavior

and disregard for the existing parenting rules.

Social Aspect refers to the commonalities among people

within a specific culture.

Youth refers to the respondents of the study. The

age is ranging 13 years old to 25 years old.

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Chapter II
REVIEW OF RELATED LITERATURE AND STUDIES

This chapter provides an overview of previous research on knowledge

sharing and related studies. This study includes factors influencing cigarettes

smoking and alcoholism among youth and its indicators, ignorance and curiosity,

peer pressure, rebellious phase and its effect to the physical aspect, mental

aspect and social aspect of the youths.

Cigarette Smoking

It’s difficult to stop once you get started. Because tobacco includes the highly

addictive chemical nicotine, smoking is a difficult habit to stop. The body and

mind soon become used to the nicotine in cigarettes, much as they do to cocaine

or other addictive drugs. It becomes necessary for a person to have it to feel

normal. People begin smoking for a variety of reasons. Some people believe it’s

cool. Others begin because a member of their family or a close acquaintance

smoke. Almost all adult tobacco users began before they turned 18. Most people

never anticipated to develop an addiction. That’s why it’s so much easier to avoid

starting to smoke in the first place (Kuper, 2010)

According to Milenkovic (2019) Cigarette smoking remains one of the most

significant preventable causes of disease and premature death in the western

world and is a leading cause of cancer and death from cancer. Caporaso (2017)

Cigarette smoking is the largest preventable risk factor for morbidity and mortality

in developed countries. Dramatic changes in the prevalence of cigarette smoking

in the second half of this century in the United States (i.e., a reduction among

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men and an increase among women) have reduced current smoking levels to

approximately one quarter of the adult population and have reduced differences

in smoking prevalence and smoking-attributable diseases between the sexes.

Current smoking in the United States is positively associated with younger age,

lower income, reduced educational achievement, and disadvantaged

neighborhood environment. Daily smokers smoke cigarettes to maintain nicotine

levels in the brain, primarily to avoid the negative effects of nicotine withdrawal,

but also to modulate mood.

Regular smokers exhibit higher and lower levels of stress and arousal,

respectively, than nonsmokers, as well as higher impulsivity and neuroticism trait

values. Nicotine dependence is the single most common psychiatric diagnosis in

the United States, and substance abuse, major depression, and anxiety

disorders are the most prevalent psychiatric comorbid conditions associated with

nicotine dependence. Studies in twins have implicated genetic factors that

explain most of the variability in vulnerability to smoking and in persistence of the

smoking phenotype. Future research into the causes of smoking must consider

these associated demographics, social factors, comorbid psychiatric conditions,

and genetic factors to understand this complex human behavior (Bosetti, 2011)

Centers for Disease Control and Prevention (2011) said that every day,

almost 2,500 children under 18 years of age try their first cigarette, and more

than 400 of them will become new, regular daily smokers. Half of them will

ultimately die from their habit. People who start smoking at an early age are more

likely to develop a severe addiction to nicotine than those who start at a later age

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of adolescents who have smoked at least 100 cigarettes in their lifetime, most of

them report that they would like to quit but are not able to do so. Furthermore, if

current tobacco uses patterns persist, an estimated 5.6 million of today’s youth

under age 18 eventually will die prematurely from a smoking-related disease

(National Survey on Drug Use and Health, 2016).

According to National Center for Health Statistics (2015) 9.3% of high school

students reported smoking cigarettes in the last 30 days, down 74% from 36.4%

in 1997 when rates peaked after increasing throughout the first half of the 1990s.

In 2015, 2.3% of middle school students smoked cigarettes in the last 30 days.

Substance Abuse and Mental Health Services Administration (2016) Rates of

overall tobacco use remain high, however. In 2015, 25.3% of high school

students and 7.4% of middle school students used a tobacco product. Among

high school students in 2015, the most prevalent forms of tobacco used were

electronic cigarettes (16%), cigarettes (9.3%), cigars (8.6%) and hookah (7.2%).

In 2015, about half of middle and high school students reported using two or

more tobacco products in the past 30 days. Menthol cigarette use is more

common among younger and newer teen smokers. 10 This is due to young

smokers perceiving menthol cigarettes as less harsh and easier to smoke. One

study found that teens exposed to the greatest amount of smoking in movies

were 2.6 times more likely to start smoking themselves compared with teens who

watched the least amount of smoking in movies.

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Alcoholism

Alcohol is a depressant that affects driving abilities, decreases reaction time,

and causes people to make unsafe decisions they would not ordinarily make.

Alcoholism can kill you in a variety of ways. Regular drinkers are more likely to

die from injuries, violence, and variety of cancers. Earlier someone starts drinking

heavily, the more likely they are to acquire major illnesses later. Any benefit from

moderate alcohol use appears to be limited to those over 60 who are at risk for

heart disease. Adults who drink moderately have a lower mortality rate than their

non-drinking counterparts, but their chance of dying prematurely rises as they

drink more heavily. Yet drinking continues to be widespread among adolescents,

as shown by nationwide surveys as well as studies in smaller populations.

According to data from the 2015 Monitoring the Future (MTF) study, an

annual survey of U.S. youth, three-fourths of 12 th graders, more than two-thirds of

10th graders, and about two in every five 8 th graders have consumed alcohol. And

when youth drink they tend to drink intensively, often consuming four to five

drinks at one time. MTF data show that 11 percent of 8 th graders, 22 percent of

10th graders, and 29 percent of 12 th graders had engaged in heavy episodic

drinking within the past two weeks. The National Institute on Alcohol Abuse and

Alcoholism [NIAAA] defines binge drinking as a pattern of drinking alcohol that

brings blood alcohol concentration to 0.08 grams percent or above. For the

typical adult, this pattern corresponds to consuming five or more drinks in men or

four or more drinks in women in about 2 hours. Research also shows that many

adolescents start to drink at very young ages. In 2018, the average age of first

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use of alcohol was about 14, compared to about 17 ½ in 2017. People who

reported starting to drink before the age of 15 were four times more likely to also

report meeting the criteria for alcohol dependence at some point in their lives.

In fact, new research shows that the serious drinking problems (including

what is called alcoholism) typically associated with middle age actually begin to

appear much earlier, during young adulthood and even adolescence. Other

research shows that the younger children and adolescents are when they start to

drink, the more likely they will be to engage in behaviors that harm themselves

and others.In accordance with O’Connor (2015) as children move from

adolescence to young adulthood, they encounter dramatic physical, emotional,

and lifestyle changes. Developmental transitions, such as puberty and increasing

independence, have been associated with alcohol use. So, in a sense, just being

an adolescent may be a key risk factor not only for starting to drink but also for

drinking dangerously.

Research shows the brain keeps developing well into the twenties, during

which time it continues to establish important communication connections and

further refines its function. Scientists believe that this lengthy developmental

period may help explain some of the behavior which is characteristic of

adolescence such as their propensity to seek out new and potentially dangerous

situations. For some teens, thrill-seeking might include experimenting with

alcohol. Developmental changes also offer a possible physiological explanation

for why teens act so impulsively, often not recognizing that their actions such as

drinking have consequence (Bagnardi, 2013)

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In accord with Knowler (2012) people view alcohol and its effects also

influences their drinking behavior, including whether they begin to drink and how

much. An adolescent who expects drinking to be a pleasurable experience is

more likely to drink than one who does not.An important area of alcohol research

is focusing on how expectancy influences drinking patterns from childhood

through adolescence and into young adulthood. Beliefs about alcohol are

established very early in life, even before the child begins elementary school.

Before age 9, children generally view alcohol negatively and see drinking as bad,

with adverse effects. By about age 13, however, their expectancies shift,

becoming more positive. As would be expected, adolescents who drink the most

also place the greatest emphasis on the positive and arousing effects of alcohol.

As claimed by Williamson (2013) Children who begin to drink at a very early

age (before age 12) often share similar personality characteristics that may make

them more likely to start drinking. Young people who are disruptive, hyperactive,

and aggressive often referred to as having conduct problems or being antisocial

as well as those who are depressed, withdrawn, or anxious, may be at greatest

risk for alcohol problems. Other behavior problems associated with alcohol use

include rebelliousness, difficulty avoiding harm or harmful situations, and a host

of other traits seen in young people who act out without regard for rules or the

feelings of others.

Based on Komro (2012) some of the behavioral and physiological factors that

converge to increase or decrease a person’s risk for alcohol problems, including

tolerance to alcohol’s effects, may be directly linked to genetics. For example,

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being a child of an alcoholic or having several alcoholic family members places a

person at greater risk for alcohol problems. Children of alcoholics (COAs) are

between 4 and 10 times more likely to become alcoholics themselves than are

children who have no close relatives with alcoholism. COAs also are more likely

to begin drinking at a young age and to progress to drinking problems more

quickly.

Most young people are introduced to alcohol by their parents and most young

people have had an alcoholic drink before the age of 16. Drinking at home under

parental supervision often began in childhood. Coleman and Carter (2013)

reported that the first experiences of drinking alcohol usually occurred between

the ages of 8 and 12 years old. However, one review reported that a third of 3–4-

year-old children could able to tell the difference between alcoholic and non-

alcoholic drinks. Also, it has been reported that children as young as 6 or 7 years

old have already developed attitudes about alcohol and have some knowledge

about its use. Drinking in a parentally supervised environment tends to peak

around the age 13 or 14. Whilst boys often experienced their first drink younger

than girls but these gender differences even out by age 13 or 14.

Several reviews reported that age of first use of alcohol is highly predictive of

both continued use and frequency of use. Harolyn (2010) reported that the

younger a child initiates alcohol and drug abuse, the higher the risk of serious

health consequences and adult substance abuse. More specifically, it has been

reported that children who are introduced to alcohol before the age of 6 years are

more than twice as likely to report frequent, heavy, or problematic drinking at age

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15 compared to children who were not exposed before the age of 13 years.

However, two reviews found that the age of the first drink neither predicted

alcohol use by age 20 nor the consequences from alcohol abuse by age 30 and

that early drinking was only a modest predictor of heavy regular drinking in later

life.

The effect of the age at which young people first consumed alcohol was

explored in relation to later drinking behaviors in US college students. Saltz and

Elandt (2015) reported that the older an individual was at the time of their first

drink, the lower the college student’s current alcohol consumption was likely to

be. College students who had their first drink in elementary school drank more

heavily and at a higher frequency and experienced more negative consequences

because of their drinking than students with a later initiation to alcohol. However

early onset of drinking does not always suggest higher long-term risk. For

instance, subsequent epidemiological data suggest that early puberty in girls is

associated with early drinking but not adult alcoholism.

Drinking too much can weaken your immune system, making your body a

much easier target for disease. Chronic drinkers are more liable to contract

diseases like pneumonia and tuberculosis than people who do not drink too

much. Zeigler (2015) reported the number of young people aged 12-17 years

from the USA who had used alcohol increased from 2.2 to 3.1 million between

2010 and 2011. In this review, most youths had their first drink around 12 years

of age and the prevalence of alcohol use increased with age. They also found

that individuals who first used alcohol in the age range of 11-14 years had a

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much greater risk of subsequently developing alcohol abuse or alcohol

dependence than children who started drinking later; it was estimated that 40%

of children who start drinking before the age of 15 years would develop alcohol

abuse or dependence. Lastly, they report that delaying the time of a young

person’s first drink may significantly reduce the risk of harmful drinking.

Vingilis (2021) investigated the location of early drinking behavior and

reported that 20% of adolescent ‘delinquents’ (students who had been in trouble

with the law) had had their first drink in the home environment compared to 75%

of law-abiding students. Thus, the location of the drinking initiation may be

important for future outcomes, however the data in this study related to 1967.

Donovan (2014) reviewed research on parental norms and the onset of drinking

and via survival analyses showed that higher levels of parental alcohol and drug

use and more permissive parental attitudes about teen drinking were linked to

earlier alcohol initiation in children.

Lieberman (2010) reported that children who learned from their parents that

alcohol use led to positive outcomes had a greater risk of alcohol related

problems than those who learned more negative expectancies. Lastly, whilst

York (2012) stated that early alcohol use was linked to later alcohol misuse and /

or problems, they cautioned that but that the exact biological and social

mechanisms were disputed and that a causal relationship had not been

demonstrated.

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To summarize, early to alcohol may be associated with increased risk of

alcohol-related problems. However, the literature is unclear as to whether early

alcohol exposure leads to harmful consequences or if early drinking is more likely

to occur in children who are at risk due to other personal, familial, or social

factors. It is possible that different outcomes may result from early alcohol

exposure with peers or with parents, although parental drinking practices or

attitudes to alcohol may influence higher or lower risk drinking.

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Factors influencing Cigarette Smoking and Alcoholism

Ignorance and Curiosity

Many adolescents and youth are likely to adopt behaviors that are very

common among adults sometime during their transition to full adulthood, even

when they are aware of the undesirable health consequences of these behaviors.

For example, the primary socialization theory contends that individuals learn

social norms and behaviors from primary sources which include the family. There

is evidence that young people whose parents smoke are more likely to smoke

(Conrad 2010). Some of the reasons given are the availability of cigarettes at

home, parents being model of smoking and drinking behavior and consequently

parents lack the credibility as advocates for non-smoking or non-drinking.

According to a report by American Cancer Society, 75% of men age 20+ and

18% of women age 20+ were smokers in the Philippines in 2011 (Corraro, 2011).

Drinking and smoking is very common in the Philippines especially among adult

males. Therefore, in the process of transition to adulthood, most male

adolescents are likely to begin drinking and smoking. It is likely that the initiation

of drinking and smoking is closely related to some markers of transition to

adulthood such as reaching socially and legally recognized age of adulthood,

completion of education, leaving parental home, and beginning of full-time

employment. Once controlled for these transition indicators, other individual and

family characteristics may have small effects.

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Portnoy (2014) despite decreasing use of tobacco products, youth remain

curious about them. Curiosity is associated with various forms of tobacco

advertising. These findings suggest the importance of measuring curiosity as an

early warning signal for potential future tobacco use and evaluating continued

efforts to limit exposure to tobacco marketing among youth. According to Ohman

(2016) Cigarettes were used to increase the boys' social status among their

friends. If they smoked a ‘good’, expensive, and popular cigarette brand, they felt

more confident, more mature, and richer than their peers. To them, smoking and

tobacco advertisements were signs of several positive connotations, such as ‘a

steady life’, ‘pleasure’, ‘good taste’, ‘feel so rich’, ‘impressive’, ‘good appearance’

and ‘attractive’.

Curiosity is widely recognized as a motivational force that moves people to

experiment with many new behaviors (Opdal, 2010). Building curiosity is a focus

for many educational endeavors (Simon, 2017), as well as the target for

marketers promoting experimentation with their consumer behavior (Smith &

Swinyard 2010). As such, multiple studies have reported that most smokers,

when asked to reflect on why they started to smoke, cite curiosity about smoking

(Guo, 2013). In this study, as in previous studies, pre-teens who were receptive

to tobacco industry marketing messages that are known to encourage smoking,

were also likely to develop curiosity cognitions.

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Peer Influences

According to Schulz (2017) showed that having friends who smoke or drink

and having peers who offer tobacco or alcohol were significantly associated with

ever smoking and drinking among the adolescents. Previous studies have

indicated that peer influences on adolescents’ smoking and drinking behaviors

were stronger, compared to those of their parents and siblings, while longitudinal

studies indicated that friends’ smoking and drinking behaviors had a larger

magnitude of association with those of adolescents compared with their parents’

or siblings’ behaviors. The findings of the present study are in line with these

studies, meaning that significant peer influences on the adolescents’ smoking

and drinking behaviors were found.

Branstetter (2011) also examined peer influences on adolescents’ risk

behaviors. According to one study on risk-taking and risky decision-making

among adolescents and adults, adolescents were more prone to risk when in

peer groups compared to adults. Liang (2016) investigated the relationship

between peer pressure and the risk behaviors of students aged 13–15 showed

that having friends who were involved in the same risk behaviors was the

dominant factor influencing risky behaviors. In addition, one study indicated that

more than 60% of students obtained their first cigarette from their peers (63%),

while one systematic review on the predictors of smoking onset in adolescents

showed a positive correlation between friends’ smoking and smoking onset in 26

out of 28 studies.

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Altogether, these findings indicated that peer influences were among the

most dominant factors in smoking and drinking among early adolescents. It is

important to note that many of the studies that indicated the significant effect of

peer influences were conducted in upper-middle- and high-income countries. The

results provide vital evidence regarding the effect of peer influences on smoking

and drinking among early adolescents in the country.

Morris (2020) Peer pressure to drink alcohol and smoking may influence

excessive alcohol and tobacco consumption, which can have adverse impacts on

health and wellbeing. While peer pressure to smoke and drink alcohol is

extensively studied among youth, less examination exists among adults. Peer

pressure to use cigarettes and drink alcohol is a complex and multifaceted

phenomenon experienced across adulthood requiring better understanding to

support initiatives to decrease the impact of pressure-inducing environments and

develop strategies to deal with perceived pressure conditions.

Jacob (2014) Peer pressure can be defined as ‘any attempt by one or more

peers to compel an individual to follow in the decisions or behaviors favored by

the pressuring individual or group’. Perceived peer pressure has been shown to

increase engagement in risky drinking practices and smoking, such as drinking

and smoking games. Alcohol consumption and cigarettes use frequently occurs

in contexts where social influence through others may operate and is embedded

within many social rituals. For some non-drinkers and smoker and moderate

drinkers, strategically selecting peers with similar drinking habits and cigarettes

use or mixing with peers with a diverse range of consumption levels, was seen

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as a helpful strategy in avoiding unwanted peer pressure. The importance of

supportive peers who understood and respected their decision not to drink and

use smoke were highlighted (Emslie, 2013).

Engels (2015) their friends are interested in smoking and drinking, they may

pressure him to experiment with those substances. The need for acceptance and

fear of being outcast can make it extremely hard to say “no”, causing the teen to

go along with what his friends suggest. Graber (2011) describe how careful

selection of a peer group can reduce drinking smoking-related peer pressure.

‘(One participant) related finding an accepting friendship group who ranged from

moderate drinkers to abstainers. Knowing other non-drinkers and smokers and

having peers who know other non-drinkers made her teetotal status less salient.’

This finding is also echoed by Piacentini & Banister (2015) ‘Light non-drinkers

and smokers tended to draw on the ‘seeking social support’ strategy, deliberately

seeking the company of other light or nondrinking friends. (One participant)

explained how initially she had considered socializing with her university flat

mates but decided against this when she realized the extent of their alcohol and

cigarettes consumption.

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Rebellious Phase

Different rebellious teens choose different substances to use based on their

personalities. Alcohol is the drug of choice for the angry teenager because it

frees them to behave aggressively. Some teens abuse prescription medicine to

party and get high. Hallucinogens (ex. Mushrooms, LSD) are also escape drugs,

often used by young people who feel misunderstood and may long to escape to a

more idealistic, kind world. Smoking cigarettes can be a form of rebellion to flaunt

their independence and make their parents angry. The reasons for teenage drug-

use are as complex as teenagers themselves.

According to Rusby (2018) some studies have indicated that although

parental influences were less influential, compared to peer influences, they were

significantly linked with adolescents’ smoking and drinking behaviors. Related

studies have also indicated that parental monitoring, parental styles, and parent–

adolescent communication predicted the substance use of adolescents. Loke

(2013) the lack of parental influences neighborhood/community cohesion had a

limited direct effect on adolescent delinquency and alcohol use while protective

neighborhood/community factors were correlated with low alcohol, tobacco, and

drug use.

Park (2015) Adolescence is the transitional period from infancy to

adulthood, in which a person experiences rapid physical growth, along with

mental and social growth and development. During the early period of

adolescence, the ability for abstract thinking, distinguished from concrete

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thinking, begins to increase gradually when solving problems or making

decisions. In the middle stage of adolescence, the person reaches the peak of

puberty, beginning to keep a distance from parents and trying to be independent

to attain autonomy; friends play a central role in this process. Once the late

period of adolescence is reached, abilities in abstract thinking develop fully, and

as a result, the person thinks about his/her future roles and plans.

Davis (2014) while undergoing these processes, adolescents achieve

physical, mental, and social growth, and along with physical changes, experience

rapid sociocultural changes. Over the course of adolescence, individuals

establish their value systems and secure a social status associated with being an

adult. Choung (2016) most people experience these processes and changes

without much trouble; however, some fail to adjust to a rapidly changing social

life and associate with friends, becoming easily exposed to cigarettes or alcohol.

This can potentially lead to drug addiction or other delinquencies. With the recent

opening and westernization of our society, smoking and alcohol use in

adolescents has increased and has become more common. Many adolescents

start smoking and use alcohol at a young age, out of curiosity and a spirit of

adventure, only to become addicted to it. Nevertheless, it is not easy to grasp

trends in adolescent smoking and alcohol in Korea because few systematic

surveys and studies have been performed.

According to surveys in (2010 and 2015), the overall smoking rate and

drinking alcohol of adolescents in Korea changed from 21.2 to 27.9%. By gender,

the rate increased from 30.5 to 33.3% in males, and from 12.2 to 21.7% in

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females. Although the overall increase was not large, the smoking rate and

alcohol use among female adolescents showed a relatively large increase.

Effects of Cigarette Smoking and Alcoholism to the Youths

Physical Aspect

Smoking and alcohol consumption are two practices that are considered high-

risk lifestyle factors. Both are incredibly damaging to one’s health. If you name an

illness, you can bet that alcohol and smoking are contributing causes. The two

behaviors have received a lot of bad feedback from the health sector, and this is

just for the sake of people’s well-being. They can create major health problems if

done on a frequent basis. Smoking and alcoholism can cause Erectile

dysfunction (ED) is a condition that affects men. Males require a continuous flow

of blood through the penis to achieve erection.

Erectile dysfunction is caused by a blockage in blood flow. Erectile

dysfunction can be caused by excessive alcohol use and regular smoking. Also,

Emphysema is a disorder in which a person's lungs lose their flexibility, making

breathing more difficult. Lungs are pliable, and in order to breathe effectively, the

body need them to be elastic and flexible. The harm induced by regular smoking,

on the other hand, is such that it compromises the suppleness of the lungs and

causes emphysema. Even light activity can cause heavy breathing in this

situation.

According to studies, smoking causes many emphysema cases. Furthermore,

Excessive drinking and smoking might increase the chance of developing high

26
blood pressure. High blood pressure raises the chance of developing heart

disease. If high blood pressure is not managed, it can lead to cognitive heart

failure, kidney damage, heart attack, stroke, and eyesight loss, according to the

American Heart Association.

According to Lee YO (2011) Cigarette smoking and drinking alcohol during

childhood and adolescence causes significant health problems among young

people, including an increase in the number and severity of respiratory illnesses,

decreased physical fitness and potential effects on lung growth and function.

Most importantly, this is when an addiction to smoking takes hold, often lasting

into and sometimes throughout adulthood. Among adults who have ever smoked

daily, 87% had tried their first cigarette by the time they were 18 years of age,

and 95% had by age 21.

As stated by Hingson (2014) Alcohol is the drug of choice among youth. Many

young people are experiencing the consequences of drinking too much, at too

early an age. As a result, underage drinking is a leading public health problem in

this country. Each year, approximately 5,000 young people under the age of 21

die because of underage drinking; this includes about 1,900 deaths from motor

vehicle crashes, 1,600 because of homicides, 300 from suicide, as well as

hundreds from other injuries such as falls, burns, and drownings.

Smoking harms nearly every organ of the body. Some of these harmful and

negative effects are immediate. According to Department of Health and Human

Services Nicotine from cigarettes is as addictive as heroin. Nicotine addiction is

27
hard to beat because it changes your brain. The brain develops extra nicotine

receptors to accommodate the large doses of nicotine from tobacco. When the

brain stops getting the nicotine it’s used to, the result is nicotine withdrawal. You

may feel anxious, irritable, and have strong cravings for nicotine.

According to Fuller (2014) drinking alcohol is associated with both short-term

and long-term health consequences. While short-term issues may last a few

hours or days, long-term health consequences may never go away. The more

frequently and longer duration an individual consumes alcohol, the greater the

likelihood of developing an alcohol-related disease. Since alcohol misuse can

have many negative health effects, it is important to understand how alcohol

affects the body, how much is too much, and when alcohol becomes a serious

problem.

Manwarren (2014) Alcohol abuse, also known as alcohol misuse, occurs

when a person consumes alcohol inappropriately or in ways that cause harm to

themselves and the people around them. For example, blacking out, binge

drinking, drinking too frequently, or using alcohol as a negative coping

mechanism are examples of alcohol misuse which can contribute to several

health-related issues. According to National Institutes of Health smoking causes

physical changes in the eyes that can threaten your eyesight. One of the effects

of nicotine from cigarettes restricts the production of a chemical necessary for

you to be able to see at night. Also, smoking increases your risk of developing

cataracts and macular degeneration (both can lead to blindness).

28
Mental Aspect

Alcohol and smoking affect your brain, making you feel relaxed in a small

amount of time. As you drink more, you become intoxicated and unsteady, and

you might do or say things you normally won’t. People with depression and

anxiety might use alcohol to help ease symptoms, but excessive alcohol use can

also worsen your mental health. (Marcus 2010).

According to Brennan (2010) people drink alcohol and smoke to help with the

symptoms of stress, anxiety, and depression. Alcohol changes the way your

brain cells signal to each other, which can make you feel relaxed. Other times

people use alcohol to self-medicate. While this can feel good for a short time, this

effect doesn’t last for long. The feelings of bliss wear off, and they can worsen

your depression symptoms.

Ferreira (2018) indicated a strong association of alcohol and tobacco use with

psychiatric disorders, but the relationship with depression and anxiety symptoms

is still uncertain. We investigated the association of psychological distress and

alcohol consumption; tobacco use and exposure to secondhand smoke among

adolescents in a developing country. Silva (2016) stated that smoking (passively

and actively) and the consumption of alcoholic beverages are associated to

psychological distress in the adolescent population. Avoiding smoking and the

use of alcohol may have beneficial effects on the mental health. Our data

reinforce the urgent necessity to prevent effectively underage access to legal

drugs in Brazil.

29
Zhang (2013) depression and anxiety are associated with cravings for alcohol

and nicotine. And long-term use of alcohol and nicotine can produce low levels of

the brain chemical serotonin, which might trigger or worsen depression (67).

Given the apparent link between drinking, smoking, and depression, Ait-Daoud

and colleagues suggest that clinicians must address both addictions and major

depression to treat these patients effectively. Boycle (2012) Medications and

psychotherapy can be useful in treating these patients. The researchers

conclude that combining pharmacotherapy with psychotherapy might be the best

mode of treatment.

Horn (2015) People with behavioral health conditions die about 5 years earlier

than those without these disorders. Many of these deaths are caused by smoking

cigarettes. Additionally, individuals with serious mental health disorders who

smoke die almost 15 years earlier than individuals without these disorders who

do not smoke. Zhao (2017) The most common causes of death among people

with behavioral health conditions are heart disease, cancer, and lung disease,

which can all be caused by smoking and alcohol.

Social Aspect

The real-world impact of alcohol and cigarettes abuse reaches far beyond

the financial costs. When a loved one has a problem with alcohol or smoking, it

can affect their marriage and their extended family. There’s also the larger impact

on the community, schools, the workplace, the healthcare system and on society.

Some people smoke when hanging out with friends or to feel comfortable in

30
social situations. Social smokers smoke occasionally and almost always in

groups often while drinking alcohol.

For many people, drinking alcohol is a trigger, or an activity they connect

with smoking (Ladonna 2015). A study conducted by The Scripps Research

Institute in US showed that nicotine exposure promotes alcohol dependence.

This explains why smoking and drinking tend to go hand-in-hand. In other words,

it’s a vicious cycle smoking reinforces drinking and vice versa.

According to Innes (2014) some people smoke or drink excessively to

relieve stress or cope with problems. Using alcohol and cigarettes as a coping

mechanism tends to have consequences in relationships. At best, it has a

tendency to create distance between loved ones. At worst, it can contribute to

anger, fighting, and irresponsible behavior in relationships. Studies have shown

that social norms play a part in shaping behavior. Often, people smoke or drink

among friends who do so, to be socially accepted. This is true especially for men.

George (2015) said that the problem with smoking is that it becomes behavior

that is part of your life, meaning that smoking becomes an auto-response, not a

conscious decision. Unfortunately, smoking and drinking tend to go together. By

engaging in such behavior among friends, one bad habit leads to two, multiplying

the negative effects to your body. According to Howard (2013) the use of alcohol

is associated with an increased risk of injuries and accidents. Even a single

episode of excessive drinking can lead to a negative outcome. Alcoholism and

chronic use of alcohol are associated with numerous medical, psychiatric, social,

and family problems. Family members, including children, exposed to a first-

31
degree relative's alcohol problem are at risk for problems. Children of parents

with alcohol addiction, for example, show higher rates of alcoholism than children

who do not have parents with an alcohol addiction.

Watkin (2015) Alcohol abuse and alcoholism within a family is a problem that

can destroy a marriage or drive a wedge between members. That means people

who drink can blow through the family budget, because fights, ignore children,

and otherwise impair the health and happiness of the people they love. In time,

family members may even develop symptoms of codependency, inadvertently

keeping the addiction alive, even though it harms them.

Arcury (2016) Social effects of tobacco production include social disruption

for communities in which tobacco production is declining (unemployment,

economic loss), and for communities in which tobacco production is being

introduced (loss of local food production and local autonomy). Wiss (2010) said

the ill-effects of smoking on health not only concern the smoker but the entire

population living in the same society and sharing the economy. Smoking is

associated with a general increase of costs involved with increased morbidity,

lowering of the social product and excess mortality.

The main problem in weaning from smoking is related to the origin of smoking

which is in large measure unknown. Smoking habits should not be analyzed on

an individual basis only. It represents a “minor addiction” with the origin within the

society. This is the result of an analysis of motives leading to smoking and

drinking alcohol.

32
Social habits, examples, deprivation of senses, dullness, anxiety, stress, and

smoking as a symbol of status play a major role (Akad, 2010). Black (2008)

Smoking only when you’re out with friends or in groups is known as social

smoking and is often triggered by alcohol – that is, drinking becomes

psychologically connected with smoking, making you crave a cigarette when

alcohol is involved. But while a couple of cigarettes on the weekend might seem

less harmful than a pack-a-day habit, even smoking occasionally is damaging

your health.

33
Chapter III
METHODOLOGY

This chapter deal with the methods and procedures that show and present

the research design, research locale, respondents of the study, data gathering

instrument, data gathering procedure, and statistical treatment.

Research Design

This study used a descriptive-correlational method. This type of research

enables the researcher to describe the record, analyze and interpret the present

condition that exist regarding the factors influencing cigarette smoking and

alcohol addiction among youth through survey questionnaire. The primary goal of

this research is to explain and help understand about the factors and effects of

alcoholism and cigarette smoking. This method is used in order to gather data

and evaluate it properly in the research area.

Quantitative in nature, the field study conducted in order to identify and

evaluate the youths that are dependent in alcohol and cigarettes. Correlational as

it determines the relationship between factors and its effect to the youth

dependent in cigarettes and alcohol.

Research Locale

The researcher conducted her study at Barangay Kapaya, Bagumbayan

Sultan Kudarat. Kapaya is a barangay in the municipality of Bagumbayan in the

province of Sultan Kudarat. Its population as determined by the 2020 Census

was 5,956. This presented 8.64% of the total population of Bagumbayan.

34
Figure 2. Map of Bagumbayan Sultan Kudarat

35
Respondents of the Study

From the 410 total population of the target respondents, the researcher

considered 200 youths using 5% margin of error in computing the sample size

from Barangay Kapaya Bagumbayan Sultan Kudarat with a random sampling

method use to gather data. These individuals came from various ages ranging

from 13 years old and 25 years old.

Qualified respondents are those knowledgeable enough to answer the

problems being presented in this study. It should answer the questions through

questionnaire given to them, to express themselves in the particular studies

respectively.

Data Gathering Instrument

A survey questionnaire was conceptualized to obtain the primary data

from the respondents. These questionnaires were distributed personally, and the

respondents were given sufficient time to answer the survey questions. In case of

the irregularities, follow up questions may be asked by the respondents.

The following scale was used by the respondents to reflect their experiences.

Numerical Scale Descriptive Rating

5 Always

4 Often

3 Sometimes

2 Seldom

1 Never

36
To determine the factors influencing cigarette smoking and alcoholism the

Likert Scale below describe the mean responses of the respondents patterned

from the work of Pimentel (2019).

Mean Interval Description

4.20-5.00 To a Very High Extent

3.40-4.19 To a High Extent

2.60-3.39 To a Moderate Extent

1.80-2.59 To a Less Extent

1.00-1.79 To a Least Extent


To describe the significant relationships between the extent factors

influencing cigarette smoking and alcoholism and its effect to the youths in

Barangay Kapaya Bagumbayan Sultan Kudarat, the researcher referred to the

following description for the obtained Pearson correlation coefficient.

r-computed value Adjectival Equivalent

1.0 No Correlation

(-+) 0.01 to (-+) 0.20 Very Low Correlation

(-+) 0.21 to (-+) 0.40 Slight Correlation

(-+) 0.41 to (-+) 0.70 Moderate Correlation

(-+) 0.71 to (-+) 0.90 Strong Correlation

(-+)0.91 to (-+) 0.99 Very Strong Correlation

(-+)1.00 Perfect Correlation

37
Data Gathering Procedure

The first step before going to the testing proper is to make a request letter.

The researcher should submit a letter to the Barangay Captain duly noted by the

adviser, Department Chairman, and College Dean which sought permission to

conduct a study within the area of Kapaya Bagumbayan Sultan Kudarat,

attached with the letter is the sample survey questionnaire which served as a

reference of Barangay Captain.

Upon the approval of the Barangay Captain, the researcher retrieves the

request letter. In this study, the researcher used a questionnaire. The

questionnaire was set and orderly arranged Questions were carefully prepared to

use answer by the respondents. The researcher respectively distributed

questionnaires to the respondents of the study.

During the survey, the researcher explains to the respondents the purpose

of the study and gave instruction on how to answer the questionnaire. The

vernacular language was used for better understanding of the questions. The

validity of the questionnaire was limited on S.Y 2021-2022.

38
Statistical Treatment

The researcher utilized the Percentage and Frequency Distribution,

Weighted Mean, Pearson Correlation Coefficient, as statistical tools to treat,

analyze and interpret the data of the present study. The following formulas were

mechanized.

Percentage- The demographic profile variables of the respondents were

analyzed using simple percentage with the following formula.

Weighted Mean-This statistical tool was used to compute for the weight of

the responses in the questionnaire designed by the respondents during the

actual data gathering procedure. The formula for the weighted mean is as

follows.

Pearson Product-Moment Correlation- This was used to determine the

significance on the relationship between the factors influencing cigarette smoking

and alcoholism and its effect to the youths.

39
Chapter IV
RESULTS AND DISCUSSION

This chapter includes the presentation of analysis and interpretation of

data gathered. The presentation of data is in tabular form for easy identification

and understanding.

Table 1.1 Demographic Profile of Respondents in terms of Age.


Frequency Percentage
Age Group
(f) (%)
13-15 years old 24 12%
16-18 years old 61 30.5%
19-21 years old 85 42.5%
22-25 years old 30 15%
Overall 200 100%

The age distribution of the respondents who participated in the study is

provided in table 1.1. The sample included only residents in the target area who

were youths. Most respondents were 19, 20 and 21 years old, with a frequency

of 85 that comprised 42.5 percent of the respondents, 16, 17 and 18 years old

has a frequency of 61 with comprised of 30.5 percent of the respondents. The

age bracket of 13 14 and 15 years old with a frequency of 24 equivalent to 12

percent of the respondents, 30 or 15 percent were 22 to 25 years old, with the

total frequency of 200 or 100 percent.

40
Table 1.2 Demographic Profile of Respondents in terms of Gender.
Gender Frequency Percentage
Female 77 38.5%
Male 123 61.5%
Overall 200 100%

As shown in the table above most of the respondents was male which

comprised 61.5 percent of the total number of population 123 respondents, there

were 77 respondents for female , which comprised 38.5 percent of the total

number of population.

Table 2.1 Extent of Factors influencing Cigarette Smoking and Alcoholism


in terms of Ignorance and Curiosity.
Standard
Items Mean Description
Deviation
1. You smoke and drink
alcohol because it feels 3.80 1.09 To a High Extent
good.
2. You smoke and drink
alcohol because it gives 3.77 1.00 To a High Extent
you pleasure.
3. Your environment leads
you to drink alcohol and 3.79 0.96 To a High Extent
smoke cigarettes.
4. Smoking and drinking
alcohol is one of way to 3.76 0.97 To a High Extent
relax.
5. You smoke and drink
3.71 1.04 To a High Extent
alcohol to look cool.

Overall 3.76 0.85 To a High Extent

As reflected in table 2.1 is the extent of factors influencing cigarette

smoking and alcoholism in terms of ignorance and curiosity with an overall

mean of 3.76 described as to a high extent. As displayed, item 1 got the highest

mean of 3.80 described as to a high extent and item 5 got the lowest mean of

41
3.71 to a high extent. This implies that most of the respondents smoke and drink

alcohol because it feels good.

Each standard deviation implies a significant variation in the ratings given

by the respondents to each indicator. This reveals that respondents may not

completely agree with each other. However, the respondents have tolerably

varied general opinions in the extent factors of influencing cigarette smoking and

alcoholism among youth in Barangay Kapaya Bagumbayan Sultan Kudarat in

terms of ignorance and curiosity as suggested by the overall standard deviation

of 0.85.

Thus, this support the proposition of Ohman (2016) Cigarettes was used to

increase the boys' social status among their friends. If they smoked a ‘good’,

expensive, and popular cigarette brand, they felt more confident, more mature,

and richer than their peers. To them, smoking and tobacco advertisements were

signs of several positive connotations, such as ‘a steady life’, ‘pleasure’, ‘good

taste’, ‘feel so rich’, ‘impressive’, ‘good appearance’ and ‘attractive’.

42
Table 2.2 Extent of Factors influencing Cigarette Smoking and Alcoholism
in terms of Peer Pressure.
Standard
Items Mean Description
Deviation
1. Your friends try to
convince you to
smoke and drink 3.48 0.98 To a Moderate Extent
alcohol.
2. You felt scared that
you might lose 3.51 0.94 To a High Extent
friends.
3. Your friends push you
to try drink alcohol 3.58 1.01 To a High Extent
and smoke cigarettes.
4. You feel pressured to
drink alcohol and
smoke because a lot
of people around you 3.57 1.00 To a High Extent
are smokers and
drinkers.
5. You do anything like
drinking and smoking
3.47 1.04 To a Moderate Extent
to avoid being seen
as “loser”.
Overall 3.52 0.79 To a High Extent

As reflected in table 2.2 is the extent of factors influencing cigarette

smoking and alcoholism in terms of peer pressure with an overall mean of 3.52

described as to a high extent. As displayed, item 3 got the highest mean of 3.58

described as to a high extent and item 5 got the lowest mean of 3.47 to a

moderate extent. This implies that most of the respondents their friends push

them to try drink alcohol and smoke cigarettes.

Each standard deviation implies a significant variation in the ratings given

by the respondents to each indicator. This reveals that respondents may not

43
completely agree with each other. However, the respondents has a tolerably

varied general opinions in the extent factors of influencing cigarette smoking and

alcoholism among youths in Barangay Kapaya Bagumbayan Sultan Kudarat in

terms of peer pressure as revealed by the overall standard deviation of 0.79.

Thus, this support the proposition of Engels (2015) their friends are

interested in smoking and drinking, they may pressure him to experiment with

those substances. The need for acceptance and fear of being outcast can make

it extremely hard to say “no”, causing the teen to go along with what his friends

suggest.

Table 2.3 Extent of Factors influencing Cigarette Smoking and Alcoholism


in terms of Rebellious Phase.
Standard
Items Mean Description
Deviation
1. You drink and smoke to
escape from worries and 3.39 1.05 To a Moderate Extent
troubles.
2. When you drink alcohol and
smoke you break and 3.41 1.04 To a Moderate Extent
destroy things.
3. You drink and smoke to be
3.52 0.97 To a Moderate Extent
notice by your parents.
4. You disobey your parents
rule so that you can drink 3.57 1.02 To a Moderate Extent
and smoke.
5. You drink and smoke to
forget your bad experiences 3.39 1.00 To a Moderate Extent
from the people around you.
Overall 3.46 0.85 To a Moderate Extent

As reflected in table 2.3 the extent of factors influencing cigarette smoking

and alcoholism in terms of rebellious phase has an overall mean of 3.46

described as to a moderate extent. As displayed, item 4 got the highest mean of

3.57 described as to a moderate extent and item 1 and 5 got the lowest mean of

44
3.39 to a moderate extent. This implies that most of the respondents disobey

their parents rule so that they can drink and smoke.

The corresponding standard deviation for each indicator describes a

variation in the ratings given by the respondents. The overall standard deviation

of 0.85 means that respondents’ have tolerably varied general opinions in the

extent factors of influencing cigarette smoking and alcoholism among youths in

Barangay Kapaya Bagumbayan Sultan Kudarat in terms of rebellious phase.

Thus, this support the proposition of Rusby (2018) some studies have

indicated that although parental influences were less influential, compared to

peer influences, they were significantly linked with adolescents’ smoking and

drinking behaviors. Related studies have also indicated that parental monitoring,

parental styles, and parent–adolescent communication predicted the substance

use of adolescents.

Table 2.4 Summary Responses on Extent of Factors Influencing Cigarette


Smoking and Alcoholism.
Standard
Indicators Mean Description
Deviation
Ignorance and Curiosity 3.76 0.85 To a High Extent
Peer Pressure 3.52 0.79 To a High Extent
Rebellious Phase 3.46 0.85 To a High Extent
Grand Mean 3.58 0.16 To a High Extent

Table 2.4 presented the summary responses on extent factors influencing

cigarette smoking and alcoholism. The data revealed that factors influencing

cigarette smoking and alcoholism described as to a high extent.

The highest mean of 3.76 is the ignorance and curiosity while the

rebellious phase got the lowest mean of 3.46. The overall mean is 3.58 and the

45
overall standard deviation is 0.16 which means that the extent of factors

influencing cigarette smoking and alcoholism they used cigarette smoking and

alcohol because of ignorance and curiosity, the peer pressure and rebellious

phase.

Table 3.1 Effects of Cigarette Smoking and Alcoholism to the Youths in


terms of Physical Aspect.
Standard
Items Mean Description
Deviation
1. Drinking and smoking cause
you to diagnose any disease 1.66 1.05 To a Less Extent
like lung disease and cancer.
2. Your appetite has been
affected in the short- or long-
1.80 1.05 To a Less Extent
term period whenever you are
unable to drink or smoke.
3. You feel lack of energy, trouble
2.04 1.06 To a Less Extent
sleeping and exhaustion.
4. You feel pain and tightness of
chest because of your drinking 1.92 1.11 To a Less Extent
and smoking.
5. Drinking and smoking lead you
1.73 1.10 To a Less Extent
to be hospitalized.
Overall 1.83 0.96 To a Less Extent

As reflected in table 3.1 are the effects of cigarette smoking and

alcoholism to the youths in terms of physical aspect with an overall mean of 1.83

described as to a less extent. As displayed, item 3 got the highest mean of 2.04

described as to a less extent and item 1 got the lowest mean of 1.66 to a less

extent. This implies that most of the respondents feel lack of energy, trouble

sleeping and exhaustion.

The corresponding standard deviation to each indicator describes a

variation in the ratings given by the respondents. The overall standard deviation

of 0.96 means that respondents’ have tolerably varied general opinions in the

46
effects of cigarette smoking and alcoholism to the youths in Barangay Kapaya

Bagumbayan Sultan Kudarat in terms of Physical Aspect.

Thus, this support the preposition of Lee Yo (2011) Cigarette smoking and

drinking alcohol during childhood and adolescence causes significant health

problems among young people, including an increase in the number and severity

of respiratory illnesses, decreased physical fitness and potential effects on lung

growth and function. Most importantly, this is when an addiction to smoking takes

hold, often lasting into and sometimes throughout adulthood. Among adults who

have ever smoked daily, 87% had tried their first cigarette by the time they were

18 years of age, and 95% had by age 21.

Table 3.2 Effects of Cigarette Smoking and Alcoholism to the Youths in


terms of Mental Aspect.
Standard
Items Mean Description
Deviation
1. You use alcohol and cigarettes
as a way of dealing with your 3.23 1.10 To a Moderate Extent
emotions and stress.
2. You use alcohol and cigarettes
3.42 0.95 To a Moderate Extent
to seek comfort.
3. You use smoking and drinking
alcohol to make you less 3.57 0.85 To a High Extent
depressed.
4. When you are drinking and
smoking it is easy to make 3.53 0.87 To a High Extent
mental connections.
5. You use alcohol and cigarettes
to make you calm down when 3.37 0.96 To a Moderate Extent
you are upset.
Overall 3.42 0.76 To a Moderate Extent

As reflected in table 3.2 are the effects of cigarette smoking and

alcoholism to the youths in terms of mental aspect with an overall mean of 3.42

47
described as to a moderate extent. As displayed, item 3 got the highest mean of

3.57 described as to a high extent and item 1 got the lowest mean of 3.23 to a

moderate extent. This implies that most of the respondents used smoking and

drinking alcohol to make them less depressed.

The corresponding standard deviation to each indicator describes a

variation in the ratings given by the respondents. The overall standard deviation

of 0.76 means that respondents’ have tolerably varied general opinions in the

effects of cigarettes smoking and alcoholism to the youths in Barangay Kapaya

Bagumbayan Sultan Kudarat in terms of Mental Aspect.

Thus this support the proposition of Brennan (2010) people drinks alcohol

and smoke to help with the symptoms of stress, anxiety, and depression. Alcohol

changes the way your brain cells signal to each other, which can make you feel

relaxed. Other times people use alcohol to self-medicate.

48
Table 3.3 Effects of Cigarette Smoking and Alcoholism to the Youths in
terms of Social Aspect.
Standard
Items Mean Description
Deviation
1. When you are taking
cigarettes and alcohol you 3.66 1.14 To a High Extent
feel less shy.
2. Drinking alcohol and
smoking makes it easier to
3.80 1.08 To a High Extent
openly express affection
to other people.
3. You feel better to get
along with people
3.69 0.85 To a High Extent
whenever you are able to
drink alcohol and smoke.
4. When you are drinking
and smoking it makes you 3.63 0.92 To a High Extent
feel outgoing and friendly.
5. When you are drinking
and smoking, your social
3.48 0.76 To a Moderate Extent
life has been more
enjoyable.

Overall 3.65 0.86 To a High Extent

As reflected in table 3.3 are the effects of cigarette smoking and

alcoholism to the youths in terms of mental aspect with an overall mean of 3.65

described as to a high extent. As displayed, item 2 got the highest mean of 3.80

described as to a high extent and item 5 got the lowest mean of 3.48 to a

moderate extent. This implies that most of the respondents are drinking alcohol

and smoking makes it easier to openly express affection to other people.

The corresponding standard deviation for each indicator describes a

variation in the ratings given by the respondents. The overall standard deviation

of 0.86 means that respondents’ have tolerably varied general opinions in the

effects of cigarettes smoking and alcoholism to the youths in Barangay Kapaya

Bagumbayan Sultan Kudarat in terms of Social Aspect.

49
Thus, this support the proposition of Innes (2014) using alcohol and

cigarettes as a coping mechanism tends to have consequences in relationships.

At best, it has a tendency to create distance between loved ones. At worst, it can

contribute to anger, fighting, and irresponsible behavior in relationships.

Table 3.4 Summary Responses on Effects of Cigarette Smoking and


Alcoholism to the Youths.
Standard
Indicators Mean Description
Deviation
Physical Aspect 1.83 0.96 To a Less Extent
Mental Aspect 3.42 0.76 To a High Extent
Social Aspect 3.65 0.86 To a High Extent
Grand Mean 2.97 0.10 To a Moderate Extent

Table 2.4 presented the summary responses on effects of cigarette

smoking and alcoholism to the youths. The data revealed that the effects of

cigarette smoking and alcoholism to the youths described as to a moderate

extent.

The highest mean of 3.65 is the social aspect while the physical aspect

got the lowest mean of 1.83. The overall mean is 2.97 and the overall standard

deviation is 0.10 which means that the cigarette smoking and alcoholism can

affect to the physical aspect, mental aspect and social aspect of the youth.

50
Table 4 Significant relationship between the extent factors Influencing
Cigarette Smoking and Alcoholism and its effects to the Youth in Barangay
Kapaya, Bagumbayan, Sultan Kudarat.
F Df P R Interpretation
Factors x Effects of Cigarette 100.7 198 .000 0.58 Significant
Smoking and Alcoholism 9
*at 0.05 level of significance

The result suggests that there is a moderate positive significant

relationship between the factors and effects of cigarettes smoking and alcoholism

(r=0.58,p<0.05,two-tails). This means that the higher the extent of the factors of

cigarettes smoking and alcoholism, the higher is the extent of its effects.

51
Chapter V
SUMMARY, CONCLUSIONS AND RECOMMENDATIONS

This chapter presented the comprehensive summary of results,

generalizations and conclusions of the data gathered. Recommendations are

formulated therein to affect the results of the study.

Summary

Generally, this study aimed to determine the factors influencing cigarette

smoking and alcoholism among youths in Barangay Kapaya Bagumbayan Sultan

Kudarat. The researcher described the profile of the respondents using the

frequency and its relative percentage. However, the main objectives of this study

were determined by computing the mean and standard deviation of the

responses about factors influencing cigarette smoking and alcoholism. The

correlation analysis was used to analyze the relationship of factors influencing

cigarette smoking and alcoholism and its effect to the youths in Barangay

Kapaya Bagumbayan Sultan Kudarat.

The following are the findings of the study:

1. This study was presented through a survey questionnaire consisting of

30 questions designed based on the study items to evaluate the

factors influencing cigarette smoking and alcoholism among youth in

Barangay Kapaya Bagumbayan Sultan Kudarat. The 200 respondents

were the youths of the Barangay ranging from 13 years old and 25

years old and knowledgeable enough to answer the given questions.

52
The age bracket of 19-21 years old has a frequency of 85 respondents

followed by 16-18 years old with the total of 61 respondents followed

by 22-25 years old with the total of 30 respondents and 13-15 years

old has a frequency of 24 respondents. The male has a total of 123

respondents and the female has a 77 respondents.

2. In the extent of factors influencing cigarette smoking and alcoholism

among youth in Barangay Kapaya Bagumbayan Sultan Kudarat in

terms of Ignorance and Curiosity has the highest mean result of 3.76,

followed by Peer Pressure with 3.52; followed by Rebellious Phase

with 3.46.

3. In the effects of cigarette smoking and alcoholism to the youths in

Barangay Kapaya Bagumbayan Sultan Kudarat in terms of Social

Aspect the highest mean result of 3.65, followed by Mental Aspect with

3.43; and Physical Aspect with 1.83 respectively.

4. The correlational of the extent of factors influencing cigarette smoking

and alcoholism and its effect to the youths, solved through *at 0.05

level of significance and the result is moderate positive significant

relationship.

53
Conclusions

Taking all the results of the study, it is concluded that:

1. The researcher concludes that the age and gender of the respondents

the age bracket of 19 to 21 years old are more influenced in cigarette

smoking and alcoholism and its effect. While the male has the highest

possibility of being affected by their curiosity, peer pressure and being

a rebel to their parents compared to female.

2. The extent of factors influencing cigarette smoking and alcoholism, the

researcher conclude that the ignorance and curiosity can be the one of

factors influencing the youths to used cigarette smoking and

alcoholism based on the response of the respondents

3. However, in the effects of cigarette smoking and alcoholism among

youth, it results that affects mostly to the social aspects of the

respondents specially when they are drinking alcohol and smoking it

makes easier to openly express affection to other people.

4. Therefore, the researcher concludes that based on the data gathered

from the respondents, there is a significant relationship between the

factors and effects of cigarette smoking and alcoholism among youths

in Barangay Kapaya Bagumbayan Sultan Kudarat. This implies that

the more the level of cigarette smoking and alcoholism, the greater the

extent of their effects.

54
Recommendations

Based on the results and conclusions of the study, the researcher

presented the following recommendations

1. The researcher recommends strategies in the barangay to reduce the

addiction of the youth in alcohol and cigarettes in order them to be

physically, mentally and socially fit.

2. It is further recommended that the awareness in the prevention strategy

related to the effects of cigarette smoking and alcoholism should be made

in symposium.

3. Since the highest grand mean of the extent factors influencing cigarette

smoking and alcoholism is the ignorance and curiosity, may keep their

hands and mind busy by take up a new hobby or interest.

4. Since the highest grand mean of the effects of cigarette smoking and

alcoholism to the youths is the social aspect, may avoid isolation and

distract them by working in community.

5. The correlation of factors influencing cigarette smoking and alcoholism

and its effect to the youths result to moderate positive significant

relationship, it is further recommend that don’t used alcohol and cigarette

because it affects in your life.

6. It is also recommended that every youth in the barangay may also work as

a team or do their part as a citizen to maintain their selves being healthy

and become active in the community.

55
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62
Appendix 1 Form 1
PLAN OF COURSE WORK

Name: JUDY ANN C. DELOTERIO Course: BS – CRIMINOLOGY


Major Course:
Course No. Course Description Unit Grade Remarks
Forensic 121 Forensic Photography 3 1.75 Passed
Forensic 424 Questioned Document Examination 3 1.75 Passed
Forensic 525 Lie Detection techniques 3 2.00 Passed
CDI 222 Specialized Crime Investigation 1 3 2.00 Passed
with Legal Medicine
CLJ 313 Criminal Law (book 1) 3 1.75 Passed
LEA 212 Comparative Model Policing 3 2.00 Passed
LEA 121 Law Enforcement Organization and 4 2.25 Passed
Administration
CA 111 Institutional Corrections 3 1.75 Passed
CA 222 Non-Institutional Corrections 3 1.50 Passed
LEA 414 Law Enforcement Operations & 3 2.00 Passed
Planning w/ Crime Mapping
CDI 313 Special Crime Investigation 2 3 1.75 Passed
CDI 111 Fundamentals of Investigation & 4 2.50 Passed
Intelligence
CDI 414 Traffic Management and Accident 3 1.75 Passed
Investigation w/ Driving
Inclusive Course:
Forensic 222 Personal Identification Techniques 3 2.25 Passed
Forensic 313 Forensic Chemistry and Toxicology 5 2.00 Passed
CLJ 424 Criminal Law Book 2 4 2.50 Passed
Total Number of Units Required for the Period :
Total Numbers of Units Earned : __53___

Certified Correct: Approved:

VIOLETA T. PICO EDWIN F. CORTEJO, MSCRIM


University Registrar College Dean
________________ ________________
Date Date

63
Form 2
Appendix 2

APPLICATION FOR THESIS TITLE

November 19 2021
Date
FACTORS AFFECTING CIGARETTE AND
ALCOHOL ADDICTION AMONG YOUTHS IN
BARANGAY KAPAYA BAGUMBAYAN
SULTAN KUDARAT
_________ _________

Remarks Signature

I am planning to write my thesis outline on November 19 2021, at SKSU


Access Campus.

Very respectfully yours,

JUDY ANN C. DELOTERIO


Student

Recommending Approval:

ROGELIO C. PALANOG JR., MSCJ MARLON D. BANGONON, MSCJ


Member Member

ALMIRA C. ANGKAL, MSCJ


Adviser

Endorsed:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson
_______________ ____________
Date Signed Date Signed

Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean
____________
Date Signed

64
Appendix 3 Form 3

NOMINATION OF GUIDANCE COMMITTEE

I JUDY ANN C. DELOTERIO, a student of BS - CRIMINOLOGY hereby

nominate the following as adviser and members of my thesis guidance

committee.

ALMIRA C. ANGKAL, MSCJ


Adviser
MARLON D. BANGONON, MSCJ
Member Member

We, hereby certify our willingness to act as adviser / members of the

guidance committee.

ALMIRA C. ANGKAL, MSCJ


Adviser

ROGELIO C. PALANOG JR., MSCJ MARLON D. BANGONON, MSCJ


Member Member

Endorsed:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson
______________ _______________
Date Signed Date Signed

Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean
__________________
Date Signed

65
Form 4
Appendix 4

APPLICATION FOR THESIS OUTLINE DEFENSE

Name: JUDY ANN C. DELOTERIO Course/Major: BS - CRIMINOLOGY

I have the honor to apply for outline defense for my study entitled:

FACTORS INFLUENCING CIGARETTE SMOKING AND ALCOHOLISM

AMONG YOUTH IN BARAGAY KAPAYA BAGUMBAYAN SULTAN KUDARAT

Time: 2:30 pm
Date: February 24, 2022
Venue: College of Criminal Justice Education
Department

MARLON D. BANGONON, MSCJ


Member Member

TEFFANY D. GONZAGA MS CHERRY VANESSA M. VENTURA, MMEM


Statistician English Critic

ALMIRA C. ANGKAL, MSCJ


Adviser

Endorsed: Recommending Approval:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson

Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean

66
Appendix 5 Form 5

CHANGE OF ADVISER / GUIDANCE COMMITTEE MEMBER

Name: JUDY ANN C. DELOTERIO Course: BS-CRIMINOLOGY


Major: CRIMINOLOGY
Thesis Title: FACTORS INFLUENCING CIGARETTE SMOKING AND
ALCOHOLISM AMONG YOUTH IN BARAGAY KAPAYA BAGUMBAYAN
SULTAN KUDARAT
APPROVED BY THE GUIDANCE COMMITTEE

ALMIRA C. ANGKAL, MSCRIM __________ __________


Adviser Signature Date

ROGELIO C. PALANOG JR.. MSCJ __________ __________


Member Signature Date

MARLON D. BANGONON, MSCJ __________ __________


Member Signature Date

CHERRY VANESSA M. VENTURA, MMEM __________ __________


English Critic Signature Date

TEFFANY D. GONZAGA, MS __________ __________


Statistician Signature Date

Endorsed: Recommending Approval:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson

Approved:

EDWIN F. CORTEJO, MSCRIM.

67
College Dean

68
Appendix 6
Form 6

APPROVAL OF THESIS OUTLINE DEFENSE

Name: JUDY ANN C. DELOTERIO Course/Major: BS-CRIMINOLOGY


Major: CRIMINOLOGY
Thesis Title: FACTORS INFLUENCING CIGARETTE SMOKING AND
ALCOHOLISM AMONG YOUTH IN BARAGAY KAPAYA BAGUMBAYAN
SULTAN KUDARAT
APPROVED BY THE GUIDANCE COMMITTEE

ALMIRA C. ANGKAL, MSCJ __________ February 24, 2022


Adviser Signature Date

ROGELIO C. PALANOG JR., MSCJ __________ February 24, 2022


Member Signature Date

MARLON D. BANGONON, MSCJ __________ February 24, 2022


Member Signature Date

TEFFANY D. GONZAGA, MS __________ February 24, 2022


Statistician Signature Date

CHERRY VANESSA M. VENTURA, MMEM __________ February 24, 2022


English Critic Signature Date

Endorsed: Recommending Approval:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson
Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean

69
Appendix 7 Form 7

CERTIFICATION OF STATISTICIAN

This is to certify that the thesis entitled FACTORS INFLUENCING

CIGARETTE SMOKING AND ALCOHOLISM AMONG YOUTH IN BARAGAY

KAPAYA BAGUMBAYAN SULTAN KUDARAT conducted on April 21, 2022,

authored by JUDY ANN C. DELOTERIO was evaluated/checked by the

undersigned as to the statistical analysis and interpretation.

Issued on this _____________ day of _____________.

TEFFANY D. GONZAGA, MS
Statistician

Noted:

EDWIN F. CORTEJO, MSCRIM


College Dean

70
Appendix 8 Form 8

CERTIFICATION OF ENGLISH CRITIC

This is to certify that the thesis entitled FACTORS INFLUENCING

CIGARETTE SMOKING AND ALCOHOLISM AMONG YOUTH IN BARAGAY

KAPAYA BAGUMBAYAN SULTAN KUDARAT conducted on April 21, 2022

authored by JUDY ANN C. DELOTERIO was edited by the undersigned as to its

grammar.

Issued on this ______ day of _____________.

CHERRY VANESSA M. VENTURA, MMEM


English Critic

Noted:

EDWIN F. CORTEJO, MSCRIM


College Dean

71
Appendix 9 Form 9

APPLICATION FOR THESIS FINAL DEFENSE EXAMINATION

Name: JUDY ANN C. DELOTERIO Course/Major: BS-CRIMINOLOGY


Major: CRIMINOLOGY
Thesis Title: FACTORS INFLUENCING CIGARETTE SMOKING AND
ALCOHOLISM AMONG YOUTH IN BARAGAY KAPAYA BAGUMBAYAN
SULTAN KUDARAT
Please write × whether: ( ) First ( ) Second ( )Third
Date: _______________ Time: _________________ Venue: _________

Guidance Committee
Name Signature Date

ALMIRA C. ANGKAL, MSCJ __________ May 25, 2022


Adviser

ROGELIO C. PALANOG JR., MSCJ __________ May 25, 2022


Member

MARLON D. BANGONON, MSCJ __________ May 25, 2022


Member

TEFFANY D. GONZAGA, MS __________ May 25, 2022


Statistician

CHERRY VANESSA M. VENTURA, MMEM __________ May 25, 2022


English Critic

Endorsed: Recommending Approval:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson

Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean
____________________
Date

72
Report on the Result of Final Defense
(Action taken by the Guidance Committee. Please indicate whether Passed or
Failed)

Signature Date Remarks


May 25, 2022
May 25, 2022
May 25, 2022

Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean

73
Appendix 10 Form 10

APPLICATION FOR THESIS FINAL PRINTING AND BINDING


This is to certify that the thesis entitled FACTORS INFLUENCING CIGARETTE
SMOKING AND ALCOHOLISM AMONG YOUTH IN BARAGAY KAPAYA
BAGUMBAYAN SULTAN KUDARAT was thoroughly reviewed by the guidance
committee and recommended for final printing and binding.

CHERRY VANESSA M. VENTURA, MMEM TEFFANY D. GONZAGA, MS


English Critic Statistician
______________ ______________
Date Signed Date Signed

ROGELIO C. PALANOG JR., MSCJ MARLON D. BANGONON, MSCJ


Member Member
______________ ______________
Date Signed Date Signed

ALMIRA C. ANGKAL MSCJ


Adviser
_________________
Date Signed

Recommending Approval:

MARLON D. BANGONON, MSCJ MARILOU U. PEREZ, MSCRIM


Research Coordinator Program Chairperson
______________ _______________
Date Signed Date Signed
Approved:

EDWIN F. CORTEJO, MSCRIM


College Dean
____________________
Date Signed

74
Appendix 11 Form 11

March 13, 2022


Dear Respondents,

Greetings of FATES!

I am conducting a research entitled FACTORS INFLUENCING CIGARETTE


SMOKING AND ALCOHOLISM AMONG YOUTH IN BARANGAY KAPAYA
BAGUMBAYAN SULTAN KUDARAT as partial requirement in the degree of
Bachelor of Science in Criminology.
In connection with this, I would like to ask for your help to provide the
necessary data for my study, please feel free to answer the questionnaires.
I would like to appreciate your assistance and support in this particular
research endeavour.
Thank you very much for your cooperation.

Very truly yours,

JUDY ANN C.DELOTERIO


Researcher

RESPONDENTS SURVEY QUESTIONNAIRE


Direction: Fill up the information needed and check the column for each
statement that corresponds to your answer from the given choices. All
information gathered shall be used purely for research purpose and shall be
treated with confidentiality.
General Instruction: Please check in the box about “FACTORS INFLUENCING
CIGARETTE SMOKING AND ALCOHOLISM AMONG YOUTH IN BARANGAY
KAPAYA BAGUMBAYAN SULTAN KUDARAT” in each statement using the
Likert Scale below.
Numerical Scale Descriptive Rating
5 Always
4 Often
3 Sometimes
2 Seldom
1 Never

75
Part I: Demographic Profile
Name (Optional):
Age:
Gender:

Part II: Factors Influencing Cigarette Smoking and Alcoholism


IGNORANCE AND CURIOSITY 5 4 3 2 1
1. You smoke and drink alcohol because it feels good.

2. You smoke and drink alcohol because it gives you


pleasure.
3. Your environment lead you to drink alcohol and smoke
cigarettes.
4. Smoking and drinking alcohol is one of your way to
relax.
5. You smoke and drink alcohol to look cool.
PEER PRESSURE 5 4 3 2 1
1. Your friends try to convince you to smoke and drink
alcohol.
2. You felt scared that you might lose friends.
3. Your friends push you to try drink alcohol and smoke
cigarettes.
4. You feel pressured to drink alcohol and smoke
because a lot of people around you are smokers and
drinkers.
5. You do anything like drinking and smoking to avoid
being seen as “loser”.
REBELLIOUS PHASE 5 4 3 2 1
1. You drink and smoke to escape from worries and
troubles.
2. When you drink alcohol and smoke you break and
destroy things.
3. You drink and smoke to be notice by your parents.
4. You disobey your parents rule so that you can drink
and smoke.
5. You drink and smoke to forget your bad experiences
from the people around you.

76
Part III: Effects of Cigarette Smoking and Alcoholism
PHYSICAL ASPECT 5 4 3 2 1
1. Drinking and smoking cause you to diagnose any
disease like lung disease and cancer.
2. Your appetite has been affected in the short- or long-
term period whenever you are unable to drink or
smoke.
3. You feel lack of energy, trouble sleeping and
exhaustion.
4. You feel pain and tightness of chest because of your
drinking and smoking.
5. Drinking and smoking lead you to be hospitalized.
MENTAL ASPECT 5 4 3 2 1
1. You use alcohol and cigarettes as a way of dealing
with your emotions and stress.
2. You use alcohol and cigarettes to seek comfort.
3. You use smoking and drinking alcohol to make you
less depressed.
4. When you are drinking and smoking it is easy to make
mental connections.
5. You use alcohol and cigarettes to make you calm
down when you are upset.
SOCIAL ASPECT 5 4 3 2 1
1. When you are taking cigarettes and alcohol you feel
less shy.
2. Drinking alcohol and smoking makes it easier to
openly express affection to other people.
3. You feel better to get along with people whenever you
are able to drink alcohol and smoke.
4. When you are drinking and smoking it makes you feel
outgoing and friendly.
5. When you are drinking and smoking, your social life
has been more enjoyable.

77
Appendix 12 Form 12

PICTORIALS AND SCREENSHOTS

78
Appendix 13 Form 13

SOURCE CODE

79
Appendix 14 Form 14

DVD

80

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